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1235837774
SCOTT DOUGLAS IVY
RIVERVIEW, FL
NPI
1235837774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
372500000X Chore Provider
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
MR. SCOTT DOUGLAS IVY
11004 ROCKLEDGE VIEW DR
RIVERVIEW, FL 33579-2370
Phone number: 813-531-2383
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Mailing Address
MR. SCOTT DOUGLAS IVY
11004 ROCKLEDGE VIEW DR
RIVERVIEW, FL 33579-2370
Phone number: 813-531-2383
Copy
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